WO2006108106A3 - Facilitating tools for cardiac tissue ablation - Google Patents

Facilitating tools for cardiac tissue ablation Download PDF

Info

Publication number
WO2006108106A3
WO2006108106A3 PCT/US2006/012885 US2006012885W WO2006108106A3 WO 2006108106 A3 WO2006108106 A3 WO 2006108106A3 US 2006012885 W US2006012885 W US 2006012885W WO 2006108106 A3 WO2006108106 A3 WO 2006108106A3
Authority
WO
WIPO (PCT)
Prior art keywords
elongate member
heart
pulmonary
guiding
pulmonary vein
Prior art date
Application number
PCT/US2006/012885
Other languages
French (fr)
Other versions
WO2006108106A2 (en
Inventor
Jim L Ward
Original Assignee
Edwards Lifesciences Corp
Jim L Ward
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Edwards Lifesciences Corp, Jim L Ward filed Critical Edwards Lifesciences Corp
Publication of WO2006108106A2 publication Critical patent/WO2006108106A2/en
Publication of WO2006108106A3 publication Critical patent/WO2006108106A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00375—Ostium, e.g. ostium of pulmonary vein or artery

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Plasma & Fusion (AREA)
  • Medical Informatics (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Methods and devices are provided for positioning a device around the pulmonary veins of a heart to treat atrial fibrillation. One method includes the steps of guiding a first elongate member through the transverse sinus, guiding a second elongate member through the oblique sinus, connecting a distal end of the first elongate member to a distal end of the second elongate member, and removing one of the first and second elongate members to position the other of the first and second elongate members around the pulmonary veins. In another exemplary embodiment, a method is disclosed that includes a step of guiding a elongate member through the transverse sinus superior to the right superior pulmonary vein and the left superior pulmonary vein of a patient's heart, and then along the pericardial sac wall and through the pericardial reflection inferior to the left inferior pulmonary vein and the right inferior pulmonary vein to extend out of the patient's heart such that the elongate member encircles the pulmonary veins. Ablative energy can then be delivered to form a lesion encircling the pulmonary veins. Kits of facilitating tools and ablation instruments are also disclosed.
PCT/US2006/012885 2005-04-06 2006-04-06 Facilitating tools for cardiac tissue ablation WO2006108106A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US66866305P 2005-04-06 2005-04-06
US60/668,663 2005-04-06
US11/399,111 2006-04-05
US11/399,111 US20060235372A1 (en) 2005-04-06 2006-04-05 Facilitating tools for cardiac tissue ablation

Publications (2)

Publication Number Publication Date
WO2006108106A2 WO2006108106A2 (en) 2006-10-12
WO2006108106A3 true WO2006108106A3 (en) 2007-02-22

Family

ID=36926326

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/012885 WO2006108106A2 (en) 2005-04-06 2006-04-06 Facilitating tools for cardiac tissue ablation

Country Status (2)

Country Link
US (1) US20060235372A1 (en)
WO (1) WO2006108106A2 (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007089676A1 (en) * 2006-01-27 2007-08-09 Medtronic, Inc. Device and system for surgical dissection and or guidance of other medical devices into body
US8628522B2 (en) * 2007-05-21 2014-01-14 Estech, Inc. (Endoscopic Technologies, Inc.) Cardiac ablation systems and methods
US10136909B2 (en) * 2007-12-20 2018-11-27 Atricure, Inc. Magnetic introducer systems and methods
US20230087254A1 (en) * 2021-09-17 2023-03-23 Atricure, Inc. Utilization of synergy emr and eml to create a coxmaze3 box lesion with radio frequency

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030163128A1 (en) * 2000-12-29 2003-08-28 Afx, Inc. Tissue ablation system with a sliding ablating device and method
US20040138652A1 (en) * 2000-04-12 2004-07-15 Afx, Inc. Electrode arrangement for use in a medical instrument

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6161543A (en) * 1993-02-22 2000-12-19 Epicor, Inc. Methods of epicardial ablation for creating a lesion around the pulmonary veins
US6311692B1 (en) * 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US20040147913A1 (en) * 1999-08-25 2004-07-29 Cardiofocus, Inc. Surgical ablation instruments with irrigation features
US20020087151A1 (en) * 2000-12-29 2002-07-04 Afx, Inc. Tissue ablation apparatus with a sliding ablation instrument and method
US7291142B2 (en) * 2004-05-10 2007-11-06 Boston Scientific Scimed, Inc. Low temperature lesion formation apparatus, systems and methods
WO2005120375A2 (en) * 2004-06-02 2005-12-22 Medtronic, Inc. Loop ablation apparatus and method

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040138652A1 (en) * 2000-04-12 2004-07-15 Afx, Inc. Electrode arrangement for use in a medical instrument
US20030163128A1 (en) * 2000-12-29 2003-08-28 Afx, Inc. Tissue ablation system with a sliding ablating device and method

Also Published As

Publication number Publication date
US20060235372A1 (en) 2006-10-19
WO2006108106A2 (en) 2006-10-12

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